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Successful Breastfeeding What You Need to Know SECOND TRIMESTER

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Successful Breastfeeding What You Need to Know SECOND TRIMESTER Successful Breastfeeding What You Need to Know SECOND TRIMESTER The Birth Center Neonatal ICU Pediatrics 1 Breastfeeding The experience of breastfeeding is special for so many reasons. As you make the decision on how to feed your baby, remember you are designed to provide the best nutrition for your baby. Dear New Parent, As you look forward to the arrival of your new little one, we would like to offer you this booklet to give you the information you will need to make important decisions regarding feeding your baby. We are striving to give you consistent messages from your OB doctor/midwife, the nurses and staff at the hospital, to your baby’s doctor. Our job is to help you meet your breastfeeding goals for you and your baby. Keep in mind that breastfeeding is a learned skill; it requires patience and practice. Gaining knowledge early on will help you be more successful when the time comes to feed your baby. We look forward to taking care of you and your baby. The Birth Center Neonatal ICU Pediatrics 2 You are special because you can make the food that is uniquely perfect for your baby. Invest the time in yourself and your baby—for your health and for the bond that will last a lifetime. There are many benefits to breastfeeding for both you and your baby. Your whole family benefits as well. Breastfeeding is recommended as the ideal nutrition for newborns by: American Academy of Pediatrics, the American Academy of Family Practice Physicians, the American College of Obstetrics and Gynecologists, the World Health Organization and UNICEF. These organizations recommend that babies are exclusively breastfed until solid foods are started around six months of age, and then continue breastfeeding until the baby is at least one year of age or longer, if mom and baby desire. Any amount of breastfeeding is beneficial for your baby. Most mothers who breastfeed longer than several months find they are able to regain their figure easier and maintain their ideal weight. You do not have to follow any special diet to breastfeed. In fact, the more variety you have in your diet, the more likely your baby will accept those foods later on. Your breastmilk contains hundreds of nutrients, hormones and antibodies that cannot be artificially manufactured. Your milk changes to meet your baby’s growth needs. Breastfeeding can fit into any lifestyle. We can teach you how to breastfeed as a working mother, how to have an active life, handle public modesty and how to involve your whole family in parenting. Breastfeeding education ■■ Sign up for Childbirth Education classes that include breastfeeding at valleymed.org/birthclass. ■■ Make a prenatal appointment with UW| VMC Lactation Services at 425.228.3440, ext 2526. 3 How Can Dad, Partner, Family and Friends Help? Breastfeeding becomes a lifestyle, not just a way to feed your baby. Dads, partners, family members and friends can be involved in the breastfeeding experience too. Fathers, partners, family members and friends can: ■■ Support the breastfeeding relationship by being kind and encouraging— encouraging words go a long way, especially in those first days and weeks. ■■ Offer support and love during this time because mom will be putting lots of work into breastfeeding. ■■ Be a good listener when mom needs to talk through breastfeeding concerns. ■■ Make sure mom has enough to drink and gets enough rest. ■■ Help around the house and take care of other children at home. ■■ Find special ways to offer more than nutrition to the baby—others can give emotional nourishment by spending time with baby. Fathers, partners, family members and friends can benefit from breastfeeding too. Many people feel love and relaxation just from sitting next to a mother and baby during breastfeeding. There are many ways dads, partners, family members and friends can love and bond with your baby beyond feeding them. What can dads and partners do? Dads and partners are an important part of a baby’s life. Just as the bond between mom and baby is important, so is the bond between dads or partners and a baby. Skin- to-skin time can be just as special and important. Beyond feeding, dads and partners can hold, comfort, sing to, read to, bathe, play with and cuddle with the baby. Encourage “special time” in many ways besides feeding so that breastfeeding can continue. 4 How You and Your Baby are Preparing Now for Breastfeeding When do you start making breastmilk? RIGHT NOW! “Breastfeeding is a gift Beginning in the second trimester, women begin making milk. Your body produces hormones that lasts a lifetime.” which prevent an abundance of milk production -Author Unknown during your pregnancy. Once you deliver your baby and your placenta is delivered, your body goes into high gear to make milk for your baby. You may notice now that you are leaking from your breasts or there is a dry substance on your bra at night. If you are not noticing these things happening, do not worry. You may notice some changes in your breasts as your pregnancy continues: ■■ Breasts grow larger. ■■ Veins become more prominent. ■■ Nipple and areola (darkened skin around your nipple) darkens and/or enlarges. ■■ Montgomery Glands (bumps on the areola) get bigger. These glands excrete oil that prevents drying, cracking and infections while you are breastfeeding. You do not need to be doing anything to prepare your breasts for breastfeeding at this time. The best thing you can do now is to learn all you can about breastfeeding before your baby arrives. Your baby is also learning how to feed at this time! Babies learn how to suck starting around 14 weeks of pregnancy. They practice on their fists and fingers. You may have seen this during your ultrasounds. They also are swallowing amniotic fluid, which prepares them for swallowing breastmilk when they are born. 5 How Breastmilk is Made Knowing how the breast works to produce milk can help you understand the breastfeeding process. Beyond the changes you can see on the outside of your breasts, it is even more fascinating to know what is going on in the inside. There is an entire glandular system made up of alveoli (which make and Alveoli store milk) and milk ducts (tubes from your alveoli to the nipple). When your baby latches to your breast, your brain is Milk Ducts stimulated to release hormones. Those hormones tell your breasts to release milk from your alveoli into the milk ducts and out through the holes in your nipple. When your breasts become fuller and tender during pregnancy, your alveoli are letting you know they are getting ready to work. Some women may not feel these changes in their breasts. Others may notice these changes after their baby is born. The alveoli make milk in response to the hormone prolactin. Prolactin rises when the baby suckles at your breast. Another hormone, oxytocin, causes small muscles around the breast to contract and move the milk through the small tubes or milk ducts. This moving of the milk is called the let-down reflex. Oxytocin also causes the muscles of the uterus to contract during and after birth. This helps the uterus to get back to its original size. It also lessens the bleeding a woman may have after giving birth. The release of both prolactin and oxytocin may be responsible in part for a mother’s intense feeling of needing to be with her baby. The hormones released during breastfeeding also relax mom. So you may notice feeling more sleepy during a feeding as well. Coping with pain during labor Using medication during labor can lead to difficulties with the initiation of breastfeeding. There are many ways to cope with the pain and anxiety associated with childbirth. At Valley Medical Center, we look forward to assisting and supporting you through your labor. The Birth Center at Valley offers Jacuzzi tubs, birthing balls, peanut balls, options to walk around during your labor and a relaxation channel on your television. Other helpful pain management techniques include: breathing exercises, imagery, massage, music, aromatherapy, and different positions like standing or on your hands and knees. Many mothers find that having a support person or doula during labor is helpful. Childbirth classes and a tour of the hospital will educate and help you and your support person be as prepared as possible for your special day. You can register for classes and free tours at valleymed.org/birthclass. 6 Skin-to-Skin When your baby is born, be assured that we will do everything we can to protect Benefits for baby: that “Golden Hour” right after birth. This is a special time that is helpful to both you and your baby. Right after delivery, if your baby is well and not needing extra ■■ Regulates temperature care, he/she will be placed directly on your bare chest. This can happen whether ■■ Regulates heart rate, respiratory rate you have a vaginal or caesarean delivery. It is important to allow your baby to stay and blood pressure there for at least the first hour or until the first feeding. Simple tasks, such as ■■ Promotes bonding weighing your baby, can wait until after this special time. Your baby may be ready to eat within 30-60 minutes after delivery. Watch your baby for feeding cues when ■■ Less crying he/she is ready to feed. These cues may be smacking or licking lips, bringing ■■ Breastfeeds better hands to mouth or opening mouth wide. You and your baby benefit greatly during ■■ Promotes brain development this very simple act of skin-to-skin. (See benefits on right.) ■■ Regulates blood sugar Skin-to-skin care with the mother (or any support person), as often as possible in the beginning days and weeks of life, has shown to help moms meet their breastfeeding goals.
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